In Office Submission Form – New Clients


As a new client, I am thankful that you’re here and I sincerely look forward to working with you. A chunk of time during your first session will be spent discussing your life and family history and it will save a lot of time if you can complete the history assessment prior to your session. Simply fill out the form below. It should take about 10 – 20 minutes and would be easier to complete on a computer as opposed to a mobile device.



Adult Health Assessment